Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | G15250 | CA |
NPI | 1033169453 |
---|---|
Provider Name | Dr. Lawrence Gerald Krugman |
First Address | Apple Valley, CA 92307-5106 |
Second Address | Barstow, CA 92311-3219 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2006 |
Last Update Date | 08/07/2007 |